The National Health Service (NHS) in England provides healthcare to both residents and overseas visitors. However, there are specific rules regarding who is eligible for free NHS care and what charges may apply. This guide explains how overseas visitors can access NHS services, what they are entitled to, and the process for paying for care if necessary.
An overseas visitor is anyone who is not a UK resident, and they may be subject to charges for NHS treatment. This includes people who are temporarily in the UK for work, study, or holiday, as well as those who are here without lawful status.
The following individuals are typically eligible for free NHS care:
UK residents: Those who are ordinarily resident in the UK, living in the country legally for at least six months, are eligible for free NHS treatment.
EU, EEA, or Swiss citizens: Post-Brexit arrangements mean citizens of these countries may be entitled to some NHS care, depending on their current status in the UK. This is often influenced by their healthcare agreement with the UK.
Refugees and Asylum Seekers: Individuals who have been granted refugee status or are seeking asylum can access free NHS care.
Citizens of countries with reciprocal healthcare agreements: Some countries have agreements with the UK that allow their citizens to access free or reduced-cost NHS services.
Overseas visitors are entitled to access certain NHS services, but there are conditions and charges depending on their situation.
Emergency Treatment: Anyone, regardless of their immigration status, is entitled to receive free emergency care at Accident & Emergency (A&E) departments. However, follow-up treatment may incur charges.
Primary Care Services (GPs, Dentists, Pharmacies): Access to GP services for overseas visitors may be subject to charges. For non-urgent care, patients may need to pay for treatment upfront or be asked to provide proof of eligibility.
Planned or Non-Urgent Treatment: Visitors who require non-urgent treatment, such as elective surgery or specialist referrals, will typically need to pay for the services unless they meet certain criteria (e.g., medical conditions covered by reciprocal agreements or other specific exemptions).
Maternity Care: If a woman is pregnant and planning to deliver in the UK, she may need to pay for maternity services unless she qualifies for free care.
The cost of NHS services for overseas visitors can vary. Charges typically cover the cost of:
Some visitors may be able to claim exemptions or reduced charges, depending on factors like their home country’s healthcare agreements with the UK, or their individual circumstances.
Registering with a GP: Overseas visitors should register with a GP if they are entitled to NHS care. GPs may request proof of eligibility, which could include documentation such as a passport, visa, or proof of address. If not eligible for free care, overseas visitors will be informed about private GP consultation fees.
Paying for Care: If services are chargeable, visitors will be required to pay upfront or upon receiving treatment. For larger treatments, payment plans may be arranged.
Healthcare Surcharge: Some overseas visitors may need to pay an immigration health surcharge (IHS) when applying for a visa to enter the UK. This surcharge grants access to NHS services during their stay.
In certain circumstances, overseas visitors may be eligible for free or reduced-cost care, including:
Medical Records: If a visitor requires ongoing care, their medical records should be transferred to their new GP or healthcare provider to ensure continuity of care.
Visas and Immigration Status: If a visitor is in the UK on a short-term basis and does not meet the criteria for free NHS care, they should be aware that treatment costs could be significant.
Insurance: It is advisable for overseas visitors to arrange travel or health insurance to cover the costs of healthcare during their stay.
For further clarification on accessing NHS services or understanding if you are eligible for free care, overseas visitors can:
Accessing NHS services as an overseas visitor requires understanding the eligibility criteria and potential charges. While some services are available for free, others may involve costs, especially for non-urgent treatment. To avoid unexpected bills, overseas visitors should ensure they are aware of their rights and responsibilities under the NHS system.